Sobering Centers Explained, 2025 Updates

Sobering centers are community-based facilities that provide care for intoxicated adults whose public substance use puts themselves or others at risk. Designed as an alternative to emergency departments and jails, sobering centers provide a safe environment where people receive immediate stabilization, health monitoring, case management, and supportive linkages to treatment services. By diverting people from traditional, often overburdened services, sobering centers help reduce unnecessary hospital visits and jail bookings while fostering recovery and community connection — a model that has evolved significantly across California over the past several years.

Since the publication of CHCF’s 2021 report, Sobering Centers Explained: An Environmental Scan in California, the landscape of sobering care has undergone substantial transformation. California continues to lead the nation in sobering center implementation, with facilities now operating in 16 counties across diverse geographic and demographic settings. Policy shifts such as CalAIM’s (California Advancing and Innovating Medi-Cal) Community Supports program and evolving legislative efforts have reshaped funding models and operational practices for these centers.

Sobering Centers Explained: An Environmental Scan in California, 2025 Updates captures key lessons from established and newly opened sobering centers. It also offers practical insights for successful implementation of sobering care, sustainable operations, and effective cross-system partnerships to serve California’s communities.

Since the development of this report, The Commission on Accreditation of Rehabilitation Facilities (CARF) and the National Sobering Collaborative announced the launch of the nation’s first accreditation program for sobering centers aimed at establishing national standards of quality and care. Final standards will be published in CARF’s 2026 Behavioral Health Standards Manual in January 2026, and accreditation will officially be available beginning in June 2026.